Comparison of Different Types of Postoperative Pulmonary Recruitment and Predicting Its Efficacy Following Off-pump Coronary Artery Bypass Grafting
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hypoxemia
- Sponsor
- Northern State Medical University
- Enrollment
- 76
- Locations
- 1
- Primary Endpoint
- Respiratory support
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
The risk of respiratory failure after cardiac surgery is high, and it may result in many complications. The maneuver of alveolar recruitment may improve the oxygen transport in the human organism. The investigators compare three different types of alveolar recruitment in patient after cardiac surgery, to reveal which one is better.
Detailed Description
The study compares three different approaches to alveolar recruitment maneuvers in the immediate postoperative period after off-pump coronary bypass grafting.
Investigators
Vsevolod V. Kuzkov
Associate Professor, MD, PhD
Northern State Medical University
Eligibility Criteria
Inclusion Criteria
- •Age between 18 and 75
- •Off-pump coronary artery bypass grafting
- •Possibility to discontinue respiratory support in the first day after intervention
Exclusion Criteria
- •Signs of ARDS
- •COPD in decompensation phase
- •Requirement for inotropic support(epinephrine \>0,1 mcg/kg/hr)
- •Bronchiectases
- •Pregnancy
- •Morbid obesity
- •Aortic aneurism
- •AMI in previous month
Outcomes
Primary Outcomes
Respiratory support
Time Frame: 24 hrs
The duration of the postoperative respiratory support
Secondary Outcomes
- The incidence of postoperative atelectasis(24 hrs)
- Incidence of reintubation(24 Hrs)
- Oxygenation(12 hrs after extubation)
- Length of ICU and hospital stay(28 Days)